LCHS Bullying Report

At LCPS, we strongly believe that each student deserves to feel safe at school. LCPS enforces a "no Bullying" policy, and we need your help in enforcing that policy. Please complete this form to report any problem that you are having or are observing bullying behavior while you are at school or on the bus. It is very important that detailed information is given so that action can be taken. You can also tell an adult about any bullying you may have experienced or witnessed. Either way, your information will be kept private. IF THIS IS AN URGENT MATTER, DO NOT SUBMIT HERE ALONE. INFORM YOUR PRINCIPAL, TEACHER, OR SCHOOL RESOURCE OFFICER IMMEDIATELY. IF THIS IS AN EMERGENCY, DIAL 911.

* Required

Who is being bullied?
*

This is a required question

What grade is this student in?

This is a required question

Who is the student that is bullying?

This is a required question

When did this start?

This is a required question

When did this last happen?

This is a required question

Where did this happen?
*

Check all that apply.

Classroom

Hallway

Cafeteria

Restroom

Library

Computer Lab

Bus

PE

Telephone or Text

Notes

Cyber or Web-based

Bus stop

Rumors

Other:

This is a required question

Has this incident been reported to anyone yet?
*

Yes

No

This is a required question

If the incident has been reported already, who was the incident reported to and when was it reported?

This is a required question

Who else knows about the incident?

This is a required question

If you can be contacted regarding this report, please provide your name and contact information.